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Follow all directions on your prescription label and read all medication guides or instruction sheets. Your doctor may occasionally change your dose. Swallow the Paxil CR extended-release tablet whole and do not crush, chew, or break the tablet. Shake the Paxil oral suspension before you measure a dose. Use the dosing syringe provided, or use a medicine dose-measuring device. It may take up to 4 weeks before your symptoms improve. Keep using the medication as directed and tell your doctor if your symptoms do not improve. Do not stop using Paxil suddenly, or you could have unpleasant withdrawal symptoms. Ask your doctor how to safely stop using this medicine. What is Paxil? Paxil is an antidepressant that belongs to group of drugs called selective serotonin reuptake inhibitors. Paroxetine affects chemicals in the brain that may be unbalanced in people with depression, anxiety, or other disorders. Paxil is used to treat depression, including major depressive disorder. Paxil is also used to treat panic disorder, obsessive-compulsive disorder, anxiety disorders, post-traumatic stress disorder, and premenstrual dysphoric disorder. Important Information You should not use Paxil if you are also taking pimozide or thioridazine. Do not use Paxil within 14 days before or 14 days after you have used an MAO inhibitor, such as isocarboxazid, linezolid, methylene blue injection, phenelzine, rasagiline, selegiline, or tranylcypromine. Some young people have thoughts about suicide when first taking an antidepressant.

Stay alert to changes in your mood or symptoms. Report any new or worsening symptoms to your doctor Seek medical attention right away if you have symptoms such as: agitation, hallucinations, muscle stiffness, twitching, loss of coordination, dizziness, warmth or tingly feeling, nausea, vomiting, diarrhea, fever, sweating, tremors, racing heartbeats, or a seizure. Before taking this medicine You should not use Paxil if you are allergic to paroxetine, or if you are also taking pimozide or thioridazine. Do not use an MAO inhibitor within 14 days before or 14 days after you take paroxetine. A dangerous drug interaction could occur.
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MAO inhibitors include isocarboxazid, linezolid, phenelzine, rasagiline, selegiline, and tranylcypromine. After you stop taking Paxil you must wait at least 14 days before you start taking an MAO inhibitor. To make sure Paxil is safe for you, tell your doctor if you have: heart disease, high blood pressure, or a stroke; liver or kidney disease; a bleeding or blood clotting disorder; seizures or epilepsy; bipolar disorder, drug addiction, or suicidal thoughts; narrow-angle glaucoma; or low levels of sodium in your blood. Be sure your doctor knows if you also take stimulant medicine, opioid medicine, herbal products, or medicine for depression, mental illness, Parkinsons disease, migraine headaches, serious infections, or prevention of nausea and vomiting. These medicines may interact with paroxetine and cause a serious condition called serotonin syndrome. Some young people have thoughts about suicide when first taking an antidepressant. Your doctor should check your progress at regular visits. Your family or other caregivers should also be alert to changes in your mood or symptoms. Taking an SSRI antidepressant such as Paxil during pregnancy may cause serious lung problems or other complications in the baby. However, you may have a relapse of depression if you stop taking your antidepressant. Tell your doctor right away if you become pregnant. Do not start or stop taking this medicine without your doctors advice. You should not breastfeed while using this medicine. Paxil is not approved for use by anyone younger than 18 years old. How should I take Paxil? Take Paxil exactly as prescribed by your doctor. 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